CHICAGO MEDICAL CLINIC LLC
NPI 1154640571
Internal Medicine - Cardiovascular Disease in Gurnee, IL

Active since May 25, 2010
200 S GREENLEAF ST, SUITE A, GURNEE, IL 60031(847) 596-4521 Get Directions Write a Review

NPPES record last updated: June 7, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Chicago Medical Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHICAGO MEDICAL CLINIC LLC (NPI 1154640571) is a healthcare organization registered as a cardiovascular disease in Gurnee, Illinois and active in the NPI registry since May 2010. The organization lists John R Kapoor, Physician, as its authorized official.

NPPES Registry Identity

NPI1154640571
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCHICAGO MEDICAL CLINIC LLC
Location Address200 S GREENLEAF ST, SUITE AGurnee, IL 60031-3398
Mailing Address200 S Greenleaf St, Suite AGurnee, IL 60031-3398 · (847) 596-4521
Organization SubpartNo
Authorized OfficialJohn R KapoorPhysician · (847) 596-4521
Enumeration DateMay 25, 2010
Last NPPES UpdateJune 7, 2013
✔ NPI 1154640571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X
200 S GREENLEAF ST, Gurnee, IL 60031

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chicago Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Chicago Medical Clinic LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Dermatology
NPI 1154501245
5605 E. ROCKTON ROAD NORTHPOINTE
Roscoe, IL 61073
(815) 525-4500
✔ PECOS✔ Accepts Medicare57 mi
Cardiovascular Disease (Cardiology)
NPI 1497887038
1150 VETERANS BLVD
Redwood City, CA 94063
(650) 299-2000
✔ PECOS✔ Accepts Medicare1,841 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chicago Medical Clinic LLC's NPI number?

The NPI number for Chicago Medical Clinic LLC is 1154640571. It was assigned to this organization in the NPPES registry on May 25, 2010.

Where is Chicago Medical Clinic LLC located?

Chicago Medical Clinic LLC is located at 200 S Greenleaf St Suite A, Gurnee, IL 60031. The listed phone number is (847) 596-4521.

What is Chicago Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Chicago Medical Clinic LLC enrolled in Medicare?

Yes. Chicago Medical Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chicago Medical Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Chicago Medical Clinic LLC, in Cardiovascular Disease (Cardiology) and Dermatology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Chicago Medical Clinic LLC was last updated on June 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.